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A 10-year-old small-breed dog should have quite a few years left on him. I wouldn't mind putting the money into a dog in that situation if there was a good chance he'd go on to have a decent quality of life. Of course, if she doesn't start taking care of things like helping him get to a healthy weight, it won't do much good to fix what's wrong now. But she's the one who has to live with her decision and nobody else should yammer on about it.

ETA: I would, however, tell her to get price quotes from a few more vets. Some vets will take advantage of her affection for the dog, and some vets just plain charge too much. It never hurts to make sure you're paying a fair price.
 
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